Boudreaux, Clarence E

Boudreaux, Clarence E is an individual health care provider with primary practice located at 103 Solana Road Suite B , Ponte Vedra Beach FL 32082. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Boudreaux, Clarence E can be contacted via phone (904) 273-2717.

Contact Information

Primary practice address
103 Solana Road Suite B Ponte Vedra Beach FL 32082
Phone: (904) 273-2717
Fax: (904) 273-0410
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X ME0055674 Florida

Profile Details

NPI number 1053366211
LBN Legal business name Boudreaux, Clarence E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Jan 15th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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